Individual
DR. JAI P. UDASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7770
(352) 392-0547
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-7770
(352) 392-0547
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME88675
FL
2080P0202X
Pediatric Cardiology Physician
Primary
ME88675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272173200
—
FL
Enumeration date
07/19/2006
Last updated
04/15/2022
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